RC 254
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
Isovue-370
Low
$0
Average
$441
Median
$84
High
$8.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
156 hospitals; the 90th percentile is 88.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
231 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $123 | $150 | 122% | 4,652 | $1 – $306 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $135 | $127 | 94% | 606–624 | $6 – $306 |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · inpatientfrom % of charges | 2 | $16 | $16 | $4 | 25% | 344–353 | $12 – $20 |
| 4 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $196 | $418 | 214% | 250 | $0 – $1.9k |
| 5 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $271 | $652 | 241% | 140 | $0 – $2.9k |
| 6 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $408 | $408 | — | — | 126–135 | $408 – $408 |
| 7 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $31 | $38 | 121% | 31 | $0 – $103 |
| 8 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $31 | $38 | 121% | 29 | $0 – $103 |
| 9 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | — | — | 2–20 | $59 – $59 |
| 10 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 11 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $117 | $163 | 139% | 1–10 | $0 – $527 |
| 12 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $117 | $163 | 139% | 1–10 | $0 – $527 |
| 13 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 14 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $404 | $404 | — | — | 1–10 | $404 – $404 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.1k | $1.2k | $152 | 13% | — | $1.0k – $1.4k |
| 18 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.2k | $152 | 13% | — | $1.0k – $1.4k |
| 19 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $875 | $991 | $202 | 20% | — | $823 – $1.3k |
| 21 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.1k | $1.2k | $152 | 13% | — | $1.0k – $1.4k |
| 23 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.2k | $152 | 13% | — | $1.0k – $1.4k |
| 24 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $875 | $991 | $202 | 20% | — | $823 – $1.3k |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7